- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74,131.02 / $102,329.30 / $154,881.66
| Facility | | $74,131.02 | $102,329.30 | $154,881.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54,954.09 / $89,125.09 / $131,825.67
| Facility | | $54,954.09 | $89,125.09 | $131,825.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63,095.73 / $91,201.08 / $158,489.32
| Facility | | $63,095.73 | $91,201.08 | $158,489.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $416.87 / $1,000.00 / $1,584.89
| Facility | | $416.87 | $1,000.00 | $1,584.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61,659.50 / $97,723.72 / $144,543.98
| Facility | | $61,659.50 | $97,723.72 | $144,543.98 |